National Provider Identifier
Brooke Marie Park
Brooke Marie Park is listed in the NPPES registry with a primary specialty of Counselor in Amherst, NY and a listed phone number of (716) 539-5255.
Profile Overview
- NPI
- 1528665833
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- October 08, 2020
- Last Updated
- June 08, 2024
Practice Location
- 19 Hopkins RD
- Amherst, NY 14221-4641
Phone: (716) 539-5255
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1528665833
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Brooke
- Middle Name
- Marie
- Mailing Street Address
- 19 Hopkins RD
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4641
- Mailing Country
- US
- Mailing Phone
- (716) 539-5255
- Practice Street Address
- 19 Hopkins RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14221-4641
- Practice Country
- US
- Practice Phone
- (716) 539-5255
- Enumeration Date
- October 08, 2020
- Last Updated
- June 08, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)